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for medicare and medicaid services, known as cms, the food and drug administration, the health resources and services administration. the indian health service. the national institutes of health and the substance abuse and mental health services administration. the vast majority of the it's resources are dedicated drerktly to the appropriations made to our prams and operating divisions and our gover nans structure reflects that reality. program level it decisions are governed and reviewed by our operating divisions. each of hhs's operating divisions has its own chief operating officer and an it management structure. and management of the development of was comparable to management 06 similar it initiatives throughout the department's operating divisions. indeed, prior to it initiatives that we're all familiar with. including medicare led and developed by cms who serves as the business owner and developer of for the federally facilitated marketplace. since i joined the department about 18 months ago, we have been working to restructure and update ou
the risk to personal medical information. let me be clear. the centers for medicare and medicaid services and its contractors failed to fully deliver what they were supposed to deliver. congressional oversight of those failures is absolutely warranted. but nobody in this room -- nobody in this country believes that republicans want to fix the website. for the past three years, the number one priority has been to bring down this law. and their goal, ladies and gentlemen, has not changed. today they complained their constituents are waiting too long on to sign up for insurance. but is there a solution to fix the website? no. it's to repeal the affordable care act and eliminate health insurance for millions of americans by repealing the federal care act indeed would reduce waiting times on the website, it would increase waiting times in our nation's emergency rooms. mr. chairman over the past month instead of working in a bipartisan manner to improve the website, he politicized this issue by repeatedly making unfounded allegations. in my opinion, these statements have impaired
discrimination and also medicare and medicaid. and you read the speech and you read about this event with sort of a what if you know the road not taken view. if it wasn't for the vietnam war wow, this guy did this great stuff. we think wow, johnson moved us ahead working on our problems as a society. but the interesting think about it on the sideline was he was clearly doing this for a national audience. he knew this would be televised and he wasn't worried about being here at the university of mesh mi michigan. towards the end of the speech he made a reference to young people. sort of like kennedy did with the peace corp speech. he once mentioned michigan when he was talking about education because i read over the speech. he wasn't partisan either in the speech. he was trying to be a statesman. i think it is interesting that both of these major events that are part of our national history and a major part of their programs and what they did, that they happened here. i don't think it was an accident. michigan, the university of michigan is certainly known for young people who care about the wo
. and nondiscrimination and also medicare and medicaid. and you read the speech and you read about this event with sort of a what-if, you know, the road not taken kind of view because if it wasn't for the vietnam war, he would be thought of as, wow, this guy did all this great stuff. like we think of roosevelt doing all the things to get us out of the frank -- franklin d. roosevelt, to get us out of the depression. we think, wow, johnson really moved us ahead in working on our problems as a society. but the interesting thing about it as a sideline is he was clearly doing this for a national audience. he knew this would be televised and he wasn't worry too much about being here in the university of michigan at ann arbor. that was just the vehicle. he never mentioned the university of michigan. until the end of the speech he made some sort of reference to young people. young people will be involved in this. and would you be willing to help me do these things. sort of like kennedy did with the peace corps speech. but he never said would you here in ann arbor. and he once mentioned michigan just as an exam
know when i was helping my mother with medicare part d almost ten years ago now, we have a lot of the same challenges, trying to figure out what was the best plan and how she might be affected by this, we had a lot of the glitches that we're experiencing now with part d as well. we worked through those glitches and my employer made a good decision with regard to her medicare coverage. and then ultimately i think today, it's one of those popular features of health care, provided in large measure because of the legislative approach that we used with the aca. that is working extremely well. we're going to see that happen with the aca as well. >> you can see washington journal every morning live on c-span. we're going live to hear from ben bernanke, he's being introduced right now by robert graybois. >> he had a reputation and was quite beloved on both sides of the aisle. last year we had edmond phelps from columbia university and the good fortune of herb stein's son, the actor ben stein who came and gave an address, remembering his father. and the only thing i'll say beyond that i
. that is a major program. the city things were the ooe, office of economic opportunity. and -- and medicare and medicade, if not for the vietnam war, this guy would have done all this great stuff. we think, wow, johnson moved ahead in working on our problems as a society. but the interesting thing about it, a sideline, is that he was clearly doing it for a national a audience. he was not worried about being here in the university of michigan in ann arbor, that was the vehicle. he never mentioned the university of michigan, toward the end of the speech, he made a reference to young people, young people would be involved in this and would you be willing to help me with these things. sort of like kennedy with the peace corp speech. but he never said, will you here in ann arbor. so he was being a statesman in the speech. i think it's interesting that both the major events that are part of our national history of where you will say, both of those presidents were a major part of their program and what they did, that they happened here. and i don't think it was an accident. you could say, it could
or social security or medicare or medicaid, the entitlement programs, at the smallest level in my lifetime. probably since dwight eisenhower. we're not lavishly spending on a bunch of social programs out there and in many ways a lot of these programs have become more efficient and pretty effective. defense we spent a lot from 2001 to 2011 but generally we are stabilizing and the pentagon working with me have come up with plans that allow us to meet our security needs while still bringing down some of the costs of defense particularly after having ended the war in iraq and on the brink of ending the war in afghanistan. when we talk about our deficit and debt problems, it is almost entirely health care costs. you eliminate the delta, the difference between what we spend on health care and what every other country advanced industrialized nation spends on health care, and that's our long-term debt. and if we're able to bend the cost curve, we help solve the problem. now, one way to do that is just to make health care cheaper overall. i think that's the best way to do it. that's what we've been
. >> for such a large increase of spending, particularly in medicare, does that count as -- if you're taking a preventive drug or going through some sort of service to keep you from worsening in your diabetes that that would not necessarily -- could you apply that reference pricing to those kinds of things as well? >> it's any script in that those four categories of drugs. the medical side with the high-tech imaging, we don't do target pricing for children although we're finding what's happening with our associates and their family members who are over the age of 18, they're starting to ask questions when their children need an imaging service, so that's good. we don't really call it elective. it's not an emergency -- >> david, do you have something to add on to that? several people are interested in reimbursement domestic tourism. medical tourism, yes. let me read them off. if somebody had to travel to a distant hospital, expenses paid before travel, what kind of expensions are covered? such as wages for extra time off, child care, post procedure follow up visits. expenses for traveling com
department, insertion for medicare and medicaid services, omb and government accountability office, two former chief government information officers, richard spires and karen evans also and before the committee. representative darrell issa chairs the committee while elijah cummings serve as the ranking member. >> the committee will come to order. the oversight committee exists to secure two fundamental principles. first, americans have a right to know the money government takes involuntarily from them is well spent. second, americans deserve an efficient, effective government that works for them. our duty on the oversight and government reform committee is to, in fact, protect these rights. our solemn responsibility is to hold government accountable to taxpayers because taxpayers have a right to know the money government takes from them is well spent. it's our job to work tirelessly with citizen watch dogs to deliver facts to american people and bring genuine reform to federal beaurocracy. three and a half years ago, closer to four, in a partisan vote, the house of representatives passe
to ease the burden of employee coverage. the law also works to strengthen medicare, and will make prescription coverage for seniors more affordable. these tax credits are desperately needed in my district where nearly 9.4% of my constituents live below the poverty line. 70,000, that's 10.5%, do not have health insurance in my district, including 6,500 children. and they'll be able to utilize the subsidies offered under the affordable care act, finally, to get health care. now, i also want to get to the bottom of what's going on with this website, and i support oversight hearings for that purpose. however, this hearing, like so many previous hearings this committee has held, is clearly an extension of the politically motivated repeal or delay agenda that some of my friends on the other side of the aisle have been pushing since this law was first passed in 2010. it seems to me if the chairman were so worried about getting this website fixed so the people could actually access affordable health care, he would not have subpoenaed mr. park to come in and testify today.
. it was sort of planned that way. and i also remember the medicare part "d" act which was a republican initiative also rolled out extremely slowly. and i know a lot of my seniors, i had to do 16 town halls around my district to try to tamp down the backlash because of the slowness of how that was ramped up. so this is not -- this experience is not out of line with those other two programs. and so i just wanted to make that note. i have had a chance to go out and talk to some of the outreach workers. a lot of the outreach on the affordable care act in my district is being conducted through the local community health centers. i have basically an urban district. so the health care -- excuse me, the health center employees are going out and signing people up. one of the concerns that they've raised is that the affordable care act is so focused, and sort of facilitated by an e-mail address, people have to have an e-mail address in order to interact with this whole thing. and if you look at the demographic of the 31 million people who we're trying to get health care to, that were not receivi
social security and medicare resip cecipients would happy if they did that. >> a lot of us still view -- there are too many people in washington still think older voters are fdr voters. this is a base republican vote now. seniors are a base republican vote. our way too early poll of christie and hillary -- a reminder, one of the only through groups that christie licked hillary on was among seniors. this is a rock ribbed republican group how. and so i think you're right, i think republicans are afraid of turning him off. >> i want to go back to 2016 in our wa
party in a very hostile way. >> maybe a lot of those older white social security and medicare resip cecipients would happy if they did that. >> a lot of us still view -- there are too many people in washington still think older voters are fdr voters. this is a base republican vote now. seniors are a base republican vote. our way too early poll of christie and hillary -- a reminder, one of the only through groups that christie licked hillary on was among seniors. this is a rock ribbed republican group how. and so i think you're right, i think republicans are afraid of turning him off. >> i want to go back to 2016 in our way too early poll in a moment. but before that, i want for talk about social issues for a second. but again when we started covering politics, social issues were murder for democrats. now they're offensive weapons. i want you to look at where this is headed and think ten years in the future, will gay marriage be legal in every state and will marijuana be legal in every state. >> wow. let me get there indirectly. you look at surveys of millennial voters. you'll see th
are in putting it in place and whether plans like medicare and medicaid could draw lessons from this experience. now, we're pleased to have today as our partner well point incorporated, operator of the blue cross blue shield plan in more than a dozen states, which collectively cover about 1 in 9 americans. you're going to be hearing from michael billman from wel point's anthem health plan in a few minutes. let me take a couple of moments to cover some logistics. there's a lot of background information about our speakers in your packets. you'll also find in hard copy the power point presentations of our speakers. those slides and all of the background material those of you in the room have in your kits are available on the alliance website, www.all also on aour website, you can views a web cast of the briefing in a couple of days. and a few days after that, a transport of today's discussion. now, of course if you're watching on c-span, you have a video, you also have access to all of the materials i mentioned if you have a computer as well and can go on to our website, all
, "government, keep your hands off my medicare." think about that. ideologically they did not like the idea of the federal government, and yet they felt very protective about the basic social safety net that had been structured. so my simple point is this -- if we can get beyond the tactical advantages that parties perceive in painting folks as extreme and trying to keep an eye always on the next election and for a while at least just focus on governing, then there is probably 70% overlap on a whole range of issues. a lot of republicans want to get infrastructure done just like i do. a lot of them believe in basic research just like i do. a lot of them want to reform entitlements to make sure they're affordable for the next generation. so do i. a lot of them say they want to reform our tax system. so do i. there are going to be differences on the details. and those details matter. and i'll fight very hard for them. but we shouldn't think that somehow the reason we've got these problems is because our policy differences are so great. >> well, the -- >> a typical day would begin with her comi
worry about the sustainability of medicare, medicaid, other health care programs, now including the affordable care act. we have a ton of other unfunded liabilities, including social security. i wonder if you could comment on the country's long run deficit issues and fiscal sustainability. >> sure. fiscal sustainability is critically important for any country, certainly for the united states as well. as a health care economist, you're certainly aware of what's happened to health care costs over the past few decades. the united states has a higher share of its gdp going to health care than any other advanced economy, and we don't get the return on that one would expect. given that that to put those tw things together, and you know, we will have some real pressures on the fiscal capacity going well -- going well into the future. i say parenthetically, though, that the last few years health care costs have risen more slowly and will be interested to find out whether that's a temporary phenomenon or something more long lasting. but clearly, we need to begin to think about how to add
their own marketplaces. the centers for medicaid and medicare will soon announce when small businesses can start enrolling online. for coverage through the small business health options program, also kno as s.h.o.p. coverage through the s.h.o.p. exchange is open to employers with fewer than 50 employees but is currently available only through paper applications. democrat louisiana senator mary landrieu chairs this committee, idaho senator james risch is the ranking republican on the committee. >>> again, we're waiting for the senate small business committee to begin a hearing this morning on the health care exchanges for small businesses in states that opted to set up their own insurance marketplaces. while we wait for the hearing to get under way, an update on the glitches on the website. >> congressman paul tonko, democrat of new york, also on the subcommittee that held a hearing yesterday, looking into congressman, let me show you the headline in the "washington times," republicans press the president to remove the health website, they want it taken down.
signed medicare before that. he had gone to missouri to be with harry truman. and he put it into law. he went from there to the lbj ranch where we're sitting right now. there had been the incident if watts two days before. the riots broke out the night before he signed that medicare law. the first riots were in watts. he was very concerned. he was, in fact -- i think he was very depressed at that point in time. i was in the white house in washington -- it's the only time in all the years i worked for him that he didn't want to take calls from me. he was trying to pass the civil rights laws and poverty laws. >> springfield, missouri. >> hi. i'm calling from springfield, new jersey. i was wondering what you thought a southern born politician like lyndon johnson who is from a segregated state of texas to become such an effective proponent and civil rights legislation. >> well, i think -- i think it is very personal in many respects. he had a cook and he had a driver. and they were both african-americans. and they would drive from washington down to texas. and they couldn't stay at any decen
reform, more competition across state lines, reforming medicare to create the right incentives. right now you have a medicare program that pays more for higher cost operations regardless of outcome rather than incentivizing lower costs, better outcomes and preventive care. medicaid that where you increase flexibility by giving states the ability to run those medicaid programs. i know joe agrees with me on that one. and also for situations where you have preexisting conditions, really empowering the state high risk health care pools in north dakota. we have comprehensive health assurance of north dakota. 35 states have these kind of pools. i think west virginia probably has one. how about the federal government works with those state pools to do more for people with preexisting conditions. i think a step by step comprehensive approach like that is what we advocate. and we have legislation that we're putting forward to do it. >> i guess on that note, about federal governments and state governments working together as former governors. >> here's where john and i have total agreement. the 10t
because that's where they signed the medicare act. and certainly there's a picture of them all there. but i don't remember anything about -- they did confer with the eisenhowers about how to give the ranch to the nation, which is what the eisenhowers had done with the gettysburg farm. but i don't remember having any luncheons for former first ladies. >> early in their marriage lyndon johnson gave lady bird a movie camera, and there are many hours of what are really family home movies that are now recorded and accessible to historians and other researchers at the lyndon johnson library. we're going to see one of those next. it is from the 1941 special election. >> son-in-law. that had ensued, went all over texas. a night rally. some of the gestures have persisted through the years. weight was not his problem then. sometimes he'd sweat down three or four suits a day. over on the right, the emcee. all i did in those days was wait and look. this is in competition with a carnival. never try to do it. >> they are fun to watch with the commentary. >> can i just say that those are accessible
Search Results 0 to 21 of about 22 (some duplicates have been removed)